Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia
L. Giudicatti, Benjamin King, Felicity Lee, Kaitlyn Lam, Nikki Stamp, Ashu Gupta, Sarah E. McClelland, Xiao-Fang Xu
Abstract
We report successful management of left atrial hematoma after ablation of supraventricular tachycardia. A 43-year-old female patient experienced chest pain immediately after radiofrequency ablation of a symptomatic left posterolateral accessory pathway. Transthoracic echocardiography demonstrated a large mass occupying the left atrium. Computed tomography and transesophageal echocardiography results were consistent with posterolateral intramural hematoma. She became hemodynamically unstable, requiring emergent surgery. The mass resolved completely by 6 weeks. (Level of Difficulty: Beginner.)
Topics & Concepts
MedicineHematomaSupraventricular tachycardiaCardiologyLeft atriumInternal medicineAblationRadiofrequency ablationTachycardiaCatheter ablationSupraventricular arrhythmiaAtrial tachycardiaRadiologyAtrial fibrillationCardiac Arrhythmias and TreatmentsCardiac Structural Anomalies and RepairAtrial Fibrillation Management and Outcomes